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Fashion Camp at Texas Tech University

Registration Form Summer 2014

Session Information: June 23rd-27th, 2014


Required Camper Information
Last Name:
First Name:
Middle Initial:
Preferred Name or Nick Name:
Home Address:
City:
State:
Zip:
Home Phone Number:
Cell Phone Number:
Gender: Female
Male
Age:
Shirt Sizes
T-shirt Size:
Parent/Guardian Information
Last Name:
First Name:
Middle Initial:
Relationship to Camper:
Home Address:
City:
State:
Zip:
Home Phone Number:
Cell Phone Number:
Email:
Emergency Contact Information
Last Name:
First Name:
Middle Initial:
Relationship to Camper:
Home Phone Number:
Cell Phone Number:
Email:
Allergies
Please list out any and all allergies with necessary treatment:
Housing Information
Preferred Roommate: (Last, First, MI)
Previous Camp Attendees
Have you attended camp before? Yes
No
If yes, what year(s):
Are you interested in becoming a junior counselor?: Yes
No
Are you currently a 4H member? Yes
No
How did you hear about Fashion Camp?
Other:

By submitting this application I am confirming that all of the information provided above is truthful to the best of my knowledge. I shall abide by all rules, procedures and regulations set by Fashion Camp in order to have a fun, safe camp.